Active NPI
Jane Moeller
- Pharmacist
- Lake City, IA
National Provider Identifier
1376930511
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 18159
- Practice address
- 1321 W Main St
Lake City, IA 51449-1585 - Phone
- (712) 464-4228
- Fax
- (712) 464-4125
- NPI assigned
- Apr 24, 2015
- Last updated
- Apr 24, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 18159 | IA | Primary |
Addresses
Primary practice location
1321 W Main St
Lake City, IA 51449-1585
Mailing address
1321 W Main St
Lake City, IA 51449-1585
Phone (712) 464-4228
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18159 | IA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429833600000",
"number": "1376930511",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1321 W MAIN ST",
"city": "LAKE CITY",
"state": "IA",
"postal_code": "514491585",
"telephone_number": "712-464-4228",
"fax_number": "712-464-4125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1321 W MAIN ST",
"city": "LAKE CITY",
"state": "IA",
"postal_code": "514491585",
"telephone_number": "712-464-4228",
"fax_number": "712-464-4125"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOELLER",
"first_name": "JANE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-24",
"last_updated": "2015-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "18159",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake City, IA
- Kaylynn Marie Larson, RN, BSN
- Luke A Larson
- James Edward Lewis, CRNA
- Larry D Lieb, CRNA ARNP
- Manor of Lake City, Inc (Shady Oaks)
- Lesa Renee Nobiling
- North Central Iowa Mental Health Center Inc (UnityPoint Health-Berryhill Center)
- North Central Iowa Mental Health Center, Inc (Berryhill Center for Mental Health)
- Northland Hearing Centers, Inc (Hearing Services of Iowa at Center for Health Services)
- Opportunity Living
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.